Provider Demographics
NPI:1609592013
Name:VASCULAR INSTITUTE CALIFORNIA PC
Entity Type:Organization
Organization Name:VASCULAR INSTITUTE CALIFORNIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MURTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-616-0016
Mailing Address - Street 1:500 UNIVERSITY AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6525
Mailing Address - Country:US
Mailing Address - Phone:916-680-9510
Mailing Address - Fax:916-680-9550
Practice Address - Street 1:500 UNIVERSITY AVE STE 250
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6525
Practice Address - Country:US
Practice Address - Phone:916-680-9510
Practice Address - Fax:916-680-9550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty